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Individual
LORENA TADDEI SA
Active
Individual
LORENA TADDEI SA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
24755
TX
1223G0001X
General Practice Dentistry
Primary
24755
TX
1223G0001X
General Practice Dentistry
DN013108
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144285292A
—
GA
Enumeration date
08/31/2006
Last updated
08/05/2025
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